Santa Monica Vikings, Youth Football and CheerTo create a Character Development Program to help develop each player with skills he/she can use on and away from the football field by teaching the Track and appreciation, Santa Monica Pop Warner Youth Footba
2018 Physical Form *- PHYSICAL FORM INSTRUCTIONS-‐2018
THE MEDICAL PRACTITIONER COMPLETING THIS FORM MUST SIGN IT ON OR AFTER JANUARY 1, 2018 “ HOWEVER, THE DATE OF THE PHYSICAL CAN BE PRIOR TO THAT DATE.
Page 1 of Form must be filled out completely by parent/guardian
-‐ If player does not have medical insurance indicate NONE
-‐ If player has insurance provide name of company and policy and/or member number. You don't need to have both
-‐ All questions must be answered. Explanation re